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Abo T, Uno S, Sano H. Comparison of bonding efficacy of an all-in-one adhesive with a self-etching primer system. Eur J Oral Sci 2004; 112: 286–292.© Eur J Oral Sci, 2004 The aim of this study was to compare the bonding efficacy of an all-in-one adhesive with that of a self-etching primer system by measuring microleakage after thermocycling and the microtensile bond strength (μTBS) to enamel and dentin. Circular class V cavities along cement–enamel junctions were prepared in 20 extracted human premolars. Each 10 teeth were bonded with either AD Bond (AD) or Clearfil SE Bond (SE), and filled with a resin composite (Charisma). After thermocycling and staining with 0.5% basic fuchsin, the microleakage at the coronal and apical walls was evaluated using longitudinal sections. In addition 20 premolars were used to measure μTBS at 24 h after bonding for these adhesives to enamel and dentin that corresponded to the coronal and apical walls of the class V cavities. AD showed more microleakage than SE in the coronal walls, but there was less microleakage in the apical walls and no difference in apical leakage between the two adhesives. μTBS (SD) in MPa to enamel and dentin were 25.2 (7.3) and 68.3 (9.4) for AD, and 35.8 (7.4) and 76.4 (7.8) for SE, respectively. AD gave a lower μTBS to enamel than did SE. The results suggested that the poor adaptation at the coronal wall in AD might be caused by the lower bond strength to enamel. [ABSTRACT FROM AUTHOR]

This study evaluated the effect of topical fluoride application on enamel hardness after in-office bleaching. Twelve human incisors were cut along the long axis, resulting in 24 halves used in four treatment groups ( n = 6 in each group): (i) untreated group (C); (ii) in-office bleaching material (B); (iii) treatment with surface reaction-type prereacted glass-ionomer varnish after in-office bleaching (B+ PRG); and (iv) treatment with acidulated phosphate fluoride solution after bleaching (B+F). All specimens were subjected to pH-cycling for 4 wk. Knoop hardness was measured using a Cariotester. The decalcification of enamel was assessed quantitatively by measuring the integrated mineral loss (Δ IML). Games-Howell analysis was used to assess statistical significance of between-group differences. The Knoop hardness decreased significantly after bleaching for all groups. In treatment groups B+ PRG and B+F, the Knoop hardness returned to the original unbleached values after the first pH cycle and did not change afterwards. In treatment groups C and B there was a gradual decrease in the Knoop hardness until the fourth pH cycle. The integrated mineral loss, Δ IML, was significantly higher in treatment group B+F after 2 wk than in the other treatment groups. After 4 wk, the Δ IML in treatment group B was significantly higher than in treatment group B+ PRG. The application of fluoride-containing materials after bleaching results in recuperation of hardness to levels similar to those of unbleached enamel. [ABSTRACT FROM AUTHOR]